LARISA M MARKEWYCH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

LARISA M

Last Name

MARKEWYCH

Business Name

LARISA M MARKEWYCH

Original Issue Date

01/28/1986

Effective Date

01/28/1986

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005